Provider Demographics
NPI:1740021286
Name:PRECIOUS HANDS & HEARTS HOME CARE LLC
Entity type:Organization
Organization Name:PRECIOUS HANDS & HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-885-7216
Mailing Address - Street 1:505 2ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-3211
Mailing Address - Country:US
Mailing Address - Phone:701-885-7216
Mailing Address - Fax:701-885-7215
Practice Address - Street 1:505 2ND AVE NE
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-3211
Practice Address - Country:US
Practice Address - Phone:701-885-7216
Practice Address - Fax:701-885-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care